Pahealthcoverage.com is committed to offering every resident of
Pennsylvania the opportunity to have some form of prescription coverage.
Many of our competitors charge for discount prescription card programs.
You can repay us for not charging you for the card below by hiring us as
your agent. As well, letting your employer, your friends and your family
know about our website and services. The PAhealthcoverage Discount
Prescription Drug Card utilizes ScripSolutions, a pharmaceutical
healthcare organization with a nationwide network of over 45,000
pharmacies including most national chains and over 15,000 independent
pharmacies. For pharmacy locations, call 1-888-299-5383 or use the online
pharmacy locator:

Save as much as 50% on prescription drugs at pharmacies such as Target,
Kmart, Eckerd, Rite Aid, The Medicine Shoppe, Safeway and many more.
Discounts vary by drug, but generally you can expect up to 15% on Brand
Name medications and up to 50% on Generic medications.

PAhealthcoverage.comDiscount Prescription Card

RxBin:
900020 RxPCN:
CLAIMNE RXGrp: SAC

Name:

________________________________________

Social Security
#:_____________________________

----------------------Fold Here-----------------------

This card entitles you to
save as much as 50% on Generic and up to 15% on Brand Name
medications. Covered prescriptions may be filled at a ScripSolutions participating pharmacy such as Target, Kmart, Genuardi's, Safeway,
Eckerd, and Rite Aid. This card is activated upon first use.

For member services,
pharmacy locations and the Pharmacist Help Desk, please call
888-299-5383.

THIS IS NOT INSURANCE
www.PAhealthcoverage.com

Instructions for using your
discount prescription card:

1.) Print this screen
for each family member who needs a prescription card.

2.)

Cut out the prescription
card from the page.

3.) Hand write the name and social security number
of the person who will be using the card.

4.) Locate a
participating local pharmacy.

5.) Present your card to your
local participating pharmacist.

The ScripSolutions system links with your
pharmacy to automatically enroll you in the program to begin saving
immediately.

Thank you for using PAhealthcoverage.com
as your agent in insuring you, your family or your business!
We love and appreciate referrals!